A Comparative Study of Suture Vs Stapler in Open Abdominal Surgery
Journal Title: International Journal of Biomedical Research - Year 2015, Vol 6, Issue 9
Abstract
Aims and Objectives: The aim of the study were Comparative study between suture v/s stapler in open abdominal surgery Comparing factors like Surgical site infection; Post operative pain; Post-operative scarring; Wound dehiscence; Cosmetic appearance; Cost effectiveness. Materials and Method: A total of 160 cases were included in this study with prior informed consent. Study duration: The study was carried out over a time period of two years from December 2011 to September 2013. Study design: The present study was prospective, observational, and comparative. Conclusion: Several methods of skin closure are available to close the skin incisions in place of sutures like staples, clips, steristrips and glue adhesives. Wound infection is a great hazard in abdominal skin closure as it can lead to disastrous complications. Cosmesis is essential and important aspect in this day of modern surgical practice. A cosmetic scar gives satisfaction to the patient and also to the surgeon. Preventing wound infection is necessary as it may lead not only to an ugly scar but also occurrence and recurrence of hernia. In our study, comparison of abdominal skin closure with staples and vertical mattress sutures was done. We found that: 1) Incidence of post operative wound infection was less with skin staples. 2) Skin staples provided better cosmesis than the vertical mattress skin closure. Hence, we conclude that the use of skin staples in low tension incision is easy, associated with low incidence of wound complications, provides good cosmetic outcome and also takes considerably less time for skin closure and thus recommend its use more frequently especially for closure of long and multiple incisions.
Authors and Affiliations
Sagarkumar Gupta, Shivang P Joshi, Honeypalsinh H. Maharaul
Keywords
Related Articles
- EP ID EP391881
- DOI 10.7439/ijbr.v6i9.2546
- Views 82
- Downloads 0
Financing universal coverage in Kenya A case study
Introduction: One of the challenges to maintain an agenda for universal coverage and equitable health system is to develop effective structuring and management of health financing. Global experiences with different syste...
Effect of technostress on job performance and coping strategies among academic staff of a tertiary institution in north-central Nigeria
BACKGROUND: Technostress is a general feeling of anxiety and negative impact on thoughts, behaviours, attitudes and body when a person is expected to deal with technology. It can lead to poor job performance and decrease...
Epidemiological indicators of Cancer in North Saudi Arabia: A population-based Survey
Objective: The objective of the present study was to find out the approximateepidemiology of cancer burden in the adults' population of Hail region, North KSA. Methodology: A cross-sectional survey among 3326 Saudi civi...
Observational Study to Evaluate Transversus Abdominis Plane (TAP) Block in Abdominal Surgery by Total Requirement of Diclofenac as a Post Operative Analgesia drug
Background:Transversus Abdominis Plane Block (TAPB) is a regional anesthesia technique.It provides analgesia after lower abdominal surgery particularly where parietal wall pain forms major component of pain. It allows se...
How accurate is MRI in prediction of musculoskeletal tumors -A prospective evaluation
Background: To determine the accuracy of MRI in determining the characteristics of musculoskeletal tumors, [including both skeletal (primary/secondary) and soft tissue tumors] and correlation of MRI findings with histopa...